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Child Health Essential Skills Stations: Development, Implementation, and Evaluation of an Undergraduate Child Health Clinical Skills Course 儿童健康基本技能站:本科儿童健康临床技能课程的发展、实施和评估
Pub Date : 2023-06-27 DOI: 10.5812/jme-132063
Alexander James Harper, K. Gregoriou, Caitlin Patterson, Prashanth V Kumar
Background: Training medical students to competently apply the clinical skills they will need as qualified doctors proves an ongoing challenge for clinical educators. During undergraduate study, students spend less time with pediatric patients than adult patients, making it more difficult to gain confidence working with this patient group. There is currently myriad evidence for a “skills lab” approach to clinical skills teaching, and this has taken on greater importance for teaching procedures during the coronavirus disease 2019 pandemic. Therefore, a standardized course for child health clinical skills was designed and implemented to run in a skills lab setting. This study describes a new course training five clinical skills important in child health. The course incorporates small group teaching, simulated practice of skills, and specific feedback from tutors, all within a skills lab setting. Evaluations were carried out over approximately one academic year, with a total of 174 participants from a single United Kingdom medical school. Objectives: This study aimed to implement and evaluate a standardized undergraduate clinical skills course for child health and improve students’ confidence in performing child health clinical skills. Methods: Qualitative and quantitative data were collected, examining students’ self-reported confidence (pre- and post-course), along with free-text course evaluations. A paired t-test was used to calculate the mean difference in students’ pre- and post-course confidence scores. Qualitative evaluations were analyzed for themes using framework analysis. Results: The students had greater confidence in all measured learning outcomes following the course. Qualitative data, examined using framework analysis, suggested that the course was valued by students, who felt it was relevant to their future practice. Numerous written comments suggested particular content and teaching methods that were strengths of the course, including practical elements, small group teaching, and feedback from tutors. Conclusions: Implementing a child health clinical skills course in a skills lab setting is feasible and valued by students. The course increased the self-reported confidence of the studied cohort and might therefore support them in practicing these skills with actual patients. Further studies are required to determine whether these effects demonstrate longevity and whether they translate to increased competence in performing the taught skills.
背景:培训医学生胜任临床技能,他们将需要作为合格的医生证明了一个持续的挑战临床教育者。在本科学习期间,学生花在儿科患者身上的时间比成人患者要少,这使得他们很难获得与这一患者群体合作的信心。目前有大量证据表明,在临床技能教学中采用“技能实验室”方法,这在2019年冠状病毒大流行期间的教学程序中显得更加重要。因此,设计并实施了一门标准化的儿童健康临床技能课程,以在技能实验室环境中运行。本研究描述了一个新的课程,训练五种重要的临床技能在儿童健康。该课程结合了小组教学、模拟技能练习和导师的具体反馈,所有这些都在技能实验室环境中进行。评估在大约一个学年的时间内进行,来自联合王国一所医学院的174名参与者参加了评估。目的:实施和评价标准化的本科儿童保健临床技能课程,提高学生执行儿童保健临床技能的信心。方法:收集定性和定量数据,检查学生自我报告的信心(课前和课后),以及自由文本课程评估。配对t检验用于计算学生课程前和课程后信心得分的平均差异。采用框架分析对主题进行定性评价。结果:课程结束后,学生对所有测量的学习成果都有了更大的信心。使用框架分析检验的定性数据表明,学生们很重视这门课程,他们认为这门课程与他们未来的实践有关。许多书面评论建议了课程的特定内容和教学方法,包括实践元素,小组教学和导师的反馈。结论:在技能实验室设置儿童健康临床技能课程是可行的,并受到学生的重视。该课程增加了被研究人群自我报告的信心,因此可能支持他们在实际病人身上练习这些技能。需要进一步的研究来确定这些影响是否证明寿命,以及它们是否转化为执行所教技能的能力提高。
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引用次数: 0
Ethical faults in cyberspace on the team-based visual art in medical netiquette: A thematic analysis in a five-years experience 医疗网络礼仪中基于团队的视觉艺术的网络空间伦理缺陷:五年经验的专题分析
Pub Date : 2023-06-27 DOI: 10.32592/jmed.2023.16.51.65
Background & Objective: While there are numerous advantages to using cyberspace for students' learning, it also increases the likelihood of unethical behavior. Therefore, this qualitative study aimed to identify and analyze ethical faults in cyberspace at Jahrom University of Medical Sciences. Materials & Methods: This study was conducted at Jahrom University of Medical Sciences over a five-year period using a qualitative approach with thematic analysis. The population included 467 students, who were divided into ten groups and had taken a medical etiquette course. The students were asked to draw their desired factors in a visual art format as tree branches while working in teams to express ethical faults and issues in cyberspace. A total of 9 focus groups and 23 teamwork documents were analyzed, and groups with comprehensive analysis of the issue were selected by purposive sampling and focus groups interview to continue until data saturation was achieved. Braun & Clark's six-phase framework was used for thematic analysis in data analysis. Results: The findings of this study identified three major themes or factors related to cyberspace, including reasons, faults, and preventive solutions that had creator-dependent 27 factors (Sub-themes) and 160 codes. These themes revealed the major ethical concepts in cyberspace from the student's viewpoint. Conclusion: As technology develops rapidly, it is crucial to ensure integrity in education for all stakeholders related to an online learning community. Therefore, educational institutions need to focus on preventing cyber faults by educating and training users.
背景与目的:利用网络空间促进学生学习有很多好处,但同时也增加了发生不道德行为的可能性。因此,本定性研究旨在识别和分析 Jahrom 医科大学网络空间中的道德缺陷。材料与方法:本研究在贾赫罗姆医科大学进行,为期五年,采用了主题分析的定性方法。研究对象包括 467 名学生,他们被分为 10 组,并参加了医学礼仪课程。学生们被要求在以小组为单位表达网络空间中的道德过失和问题时,以视觉艺术的形式将他们所期望的因素画成树枝。共分析了 9 个焦点小组和 23 份团队合作文件,并通过目的性抽样和焦点小组访谈的方式选出对问题分析全面的小组,继续分析,直至数据饱和。在数据分析中采用了布劳恩和克拉克的六阶段框架进行主题分析。结果研究结果确定了与网络空间有关的三大主题或因素,包括原因、过失和预防性解决方 案,共涉及 27 个因素(子主题)和 160 个代码。这些主题从学生的角度揭示了网络空间的主要伦理观念。结论随着技术的飞速发展,确保在线学习社区所有利益相关者的教育诚信至关重要。因此,教育机构需要通过对用户进行教育和培训来重点预防网络故障。
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引用次数: 0
The Relationship Between Academic Burnout and Hope for the Future in Medical Students: Mediating Role of the Stress 医学生学业倦怠与未来希望的关系:压力的中介作用
Pub Date : 2023-06-26 DOI: 10.5812/jme-135153
Kazem Aryaei Moghadam, Hamdollah Jayervand, B. Makvandi
Background: Academic burnout, in addition to affecting different aspects of the students' personal lives, can have many negative impacts on their academic and family conditions. Objectives: The present study aimed to investigate the relationships between academic burnout and hope for the future through examining the mediating role of stress in medical students. Methods: The statistical population of this descriptive-correlational study included all students at Ahvaz University of Medical Sciences in 2022. Multistage cluster sampling was used to select 301 students. The research instruments included the Academic Burnout Questionnaire, the Attitudes towards Education and Career Prospects Scale, and Medical Student Stressor Questionnaire. The proposed model was evaluated using structural equation modeling (SEM). Results: The results showed that the direct path from hope for the future to stress was significant (P < 0.001). The indirect path from hope for the future to academic burnout was significant with the mediation of stress (P < 0.001), while the direct path from hope for the future to academic burnout was not significant. Conclusions: Stress mediated the relationship between hope for the future and academic burnout. It was also found that the proposed model had a desirable goodness of fit and may have been considered a major step in identifying the factors responsible for academic burnout in medical students. Given that stress was a central factor in academic burnout, it was suggested that policymakers should appreciate the necessity of providing the stressed students with support from family members and instructors.
背景:学业倦怠除了影响学生个人生活的各个方面外,还会对他们的学业和家庭状况产生许多负面影响。目的:本研究旨在通过考察压力在医学生学业倦怠与未来希望之间的中介作用,探讨学业倦怠与未来希望之间的关系。方法:本描述性相关研究的统计人群为阿瓦士医科大学2022年所有在校生。采用多阶段整群抽样方法抽取301名学生。研究工具包括学业倦怠问卷、教育态度与职业前景量表和医学生压力源问卷。采用结构方程模型(SEM)对该模型进行了评价。结果:结果显示,从对未来的希望到压力的直接路径显著(P < 0.001)。从未来希望到学业倦怠的间接路径在压力的中介作用下显著(P < 0.001),而从未来希望到学业倦怠的直接路径不显著。结论:压力在未来希望与学业倦怠之间起中介作用。研究还发现,所提出的模型具有理想的拟合优度,可能被认为是确定医学生学业倦怠因素的重要一步。鉴于压力是学业倦怠的核心因素,建议政策制定者应该认识到为有压力的学生提供家庭成员和教师支持的必要性。
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引用次数: 0
Registered Nurses’ Experiences of Using a 3D Game in the Development of Medication Competency: An Interview Study 注册护士使用3D游戏发展用药能力的经验:访谈研究
Pub Date : 2023-06-26 DOI: 10.5812/jme-129060
Sanna Luokkamäki, Marja Härkänen, S. Saano, Kukka-Maaria Kokkonen, K. Vehvilainen-Julkunen
Background: Health professionals should receive lifelong education to maintain competency in medication administration and ensure safe medical practice. Game-based education is one way to enhance and ensure health professionals’ medication competency. Objectives: This study aimed to describe registered nurses’ experiences of the Imagine 3D game and their views of the effectiveness of this game-based education program in improving their medication competency. Methods: This qualitative interview study included eight registered nurses who completed an education program based on the 3D game Imagine, which aims to strengthen medication administration competency. Data were collected via semi-structured interviews between March and April 2019 and analyzed using content analysis. Results: Three themes were extracted from the study with the following concepts: (1) experiences of playing; (2) the usability of the game in verifying nurses’ medication competency; and (3) the game’s effectiveness in fostering registered nurses’ medical competency. On analyzing the nurses’ personal experiences, the game-based education program was valuable in training nurses to enhance their medication administration competency. Participants reported that the game was comfortable to play and useful in repeated medication administration tasks, and it increased their self-reflection and even changed their actions based on learning. The nurses reported that the game was most beneficial to nursing students and recent graduates and was used especially during the introductory period. Moreover, based on the interviews, the game was also useful in continuing education; therefore, it should be applied in all healthcare professionals’ training. Conclusions: This study shows that a 3D computer game can be useful for nurses to foster their knowledge and expertise in medication administration tasks.
背景:卫生专业人员应接受终身教育,以保持药物管理能力和确保安全的医疗实践。以游戏为基础的教育是提高和确保卫生专业人员用药能力的一种方式。目的:本研究旨在描述注册护士对Imagine 3D游戏的体验,以及他们对这种基于游戏的教育计划在提高其用药能力方面的有效性的看法。方法:对8名注册护士进行定性访谈研究,这些护士完成了基于3D游戏Imagine的强化药物管理能力教育项目。2019年3月至4月期间通过半结构化访谈收集数据,并使用内容分析进行分析。结果:从研究中提取出三个主题,其概念如下:(1)游戏体验;(2)游戏在护士用药能力验证中的可用性;(3)游戏对培养注册护士医疗胜任力的效果。通过对护士个人经验的分析,认为游戏教育对护士提高给药能力有一定的培训价值。参与者报告说,这款游戏玩起来很舒服,在重复的药物管理任务中很有用,它增加了他们的自我反思,甚至根据学习改变了他们的行为。护士报告说,这个游戏对护理专业的学生和刚毕业的学生最有益,特别是在入门阶段使用。此外,根据访谈,该游戏在继续教育中也很有用;因此,它应应用于所有卫生保健专业人员的培训。结论:本研究显示3D电脑游戏可以帮助护士培养他们在给药任务中的知识和专业技能。
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引用次数: 0
The Current Understanding of Service Innovation 当前对服务创新的理解
Pub Date : 2023-05-20 DOI: 10.5812/jme-131809
Firouzeh Majidi, S. Yazdani, H. Dehnavi, Snoor Bayazidi
Context: Universities are among the best places to foster innovation and provide services, as they are in close contact with clients. In order to offer the best possible services, they need to be innovative in their respective fields. Service innovation is widely recognized as one of the three strategic research priorities of service institutions. Given the vast number and types of services available, various models are adopted to achieve this goal. Evidence Acquisition: This article aims to provide a critical review of the available service innovation models and propose a comprehensive service innovation model. To achieve this objective, relevant keywords were used to conduct a literature search in databases. Initially, 1504 studies were obtained, and after a screening process, only 10 studies that were most relevant to the study's purpose were selected. Results: The model proposed in this study is an integrated form of service innovation models, encompassing the process, dimensions, required infrastructures, capabilities, and the types and outcomes of service innovation, which are discussed separately in other models. Conclusions: Service innovation is a complex and resource-intensive activity with potential long-term benefits for firms in both service and manufacturing industries. If a service company aims to establish a more sustainable strategic position based on innovation, it should examine its management process for physical, organizational, and intellectual resources.
背景:大学是促进创新和提供服务的最佳场所之一,因为它们与客户密切联系。为了提供最好的服务,他们需要在各自的领域进行创新。服务创新被广泛认为是服务机构的三大战略研究重点之一。鉴于可用服务的数量和类型非常庞大,因此采用了各种模型来实现这一目标。证据获取:本文旨在对现有服务创新模式进行批判性回顾,并提出一个综合服务创新模式。为了达到这一目的,我们使用相关关键词在数据库中进行文献检索。最初,获得了1504项研究,经过筛选过程,仅选择了与研究目的最相关的10项研究。结果:本研究提出的模型是服务创新模型的集成形式,包含了服务创新的过程、维度、所需的基础设施、能力以及服务创新的类型和结果,这些在其他模型中是单独讨论的。结论:服务创新是一项复杂的资源密集型活动,对服务业和制造业的企业都具有潜在的长期效益。如果一家服务公司的目标是在创新的基础上建立一个更可持续的战略地位,它应该检查其对物质、组织和智力资源的管理过程。
{"title":"The Current Understanding of Service Innovation","authors":"Firouzeh Majidi, S. Yazdani, H. Dehnavi, Snoor Bayazidi","doi":"10.5812/jme-131809","DOIUrl":"https://doi.org/10.5812/jme-131809","url":null,"abstract":"Context: Universities are among the best places to foster innovation and provide services, as they are in close contact with clients. In order to offer the best possible services, they need to be innovative in their respective fields. Service innovation is widely recognized as one of the three strategic research priorities of service institutions. Given the vast number and types of services available, various models are adopted to achieve this goal. Evidence Acquisition: This article aims to provide a critical review of the available service innovation models and propose a comprehensive service innovation model. To achieve this objective, relevant keywords were used to conduct a literature search in databases. Initially, 1504 studies were obtained, and after a screening process, only 10 studies that were most relevant to the study's purpose were selected. Results: The model proposed in this study is an integrated form of service innovation models, encompassing the process, dimensions, required infrastructures, capabilities, and the types and outcomes of service innovation, which are discussed separately in other models. Conclusions: Service innovation is a complex and resource-intensive activity with potential long-term benefits for firms in both service and manufacturing industries. If a service company aims to establish a more sustainable strategic position based on innovation, it should examine its management process for physical, organizational, and intellectual resources.","PeriodicalId":30594,"journal":{"name":"Journal of Medical Education Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72508508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing a New Framework on the Internationalization of Medical Education: A Lesson Learned From COVID-19 in Iran 引入医学教育国际化新框架:从伊朗新冠肺炎疫情中吸取的教训
Pub Date : 2023-05-20 DOI: 10.5812/jme-128485
Sadaf Jazayeri, Hamid Akbari Javar, A. Namaki, S. Ahmady
Context: During the COVID-19 pandemic and challenges, medical education with insight toward training competent students with a global vision has highlighted the necessity of a robust approach toward sustainable development (SD) on internationalization. Inevitable transformations in medical education and its internationalization component due to the COVID-19 pandemic have not yet been investigated. Accordingly, the objective of this study was to assess the current situation and propose the operational framework of internationalization for medical education with a global vision toward SD. Methods: A mixed method was applied. A critical review was conducted on English papers extracted from Google Scholar, Scopus, PubMed, and Elsevier databases using the following search terms: Sustainable development, operational approach, educational environment, management strategies, internationalization, and COVID-19. Boolean operators were used to eliminate inappropriate hits with a focus on research goals. Ineligible studies were excluded by screening titles and abstracts. The knowledge management was applied to the related findings of the internationalization of medical education components. Results: Evidence presents a new order of internationalization components of internal and external dimensions with an educational paradigm shift to virtual programs. Assessing these dimensions indicated the requirement of implementing SD. The suggested pathway should initiate from the internal institution dimensions (facilities and budget component with generating income), followed by the external institution dimensions (sociocultural element and nation-building). Conclusions: The COVID-19 pandemic has forced educational institutions to shift to virtual education. The designed framework highlights educational activities toward virtual education and earning income, empowering faculties, and meeting social needs in medical education to achieve SD.
背景:在2019冠状病毒病大流行和挑战期间,医学教育着眼于培养具有全球视野的合格学生,强调了在国际化方面采取强有力的可持续发展(SD)方法的必要性。由于COVID-19大流行,医学教育及其国际化部分的不可避免的转变尚未得到调查。基于此,本研究旨在评估医学教育国际化的现况,并提出以全球视野迈向可持续发展的医学教育国际化运作架构。方法:采用混合法。我们对谷歌Scholar、Scopus、PubMed和Elsevier数据库中的英文论文进行了批判性回顾,检索词为:可持续发展、运营方法、教育环境、管理策略、国际化和COVID-19。布尔运算符用于消除不适当的命中,重点放在研究目标上。通过筛选题目和摘要排除不合格的研究。将知识管理应用于医学教育国际化组成部分的相关研究结果。结果:证据表明,随着教育范式向虚拟程序的转变,内部和外部维度的国际化组成部分的新秩序。通过评估这些方面,可以看出实施可持续发展的要求。建议的途径应该从内部制度层面(产生收入的设施和预算部分)开始,然后是外部制度层面(社会文化因素和国家建设)。结论:新冠肺炎疫情迫使教育机构转向虚拟教育。设计的框架突出了虚拟教育和赚取收入的教育活动,增强了教师的能力,满足了医学教育实现可持续发展的社会需求。
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引用次数: 0
The Critical Thinking Process: A Holistic View to Promote Critical Problem-Solving in Health Profession Education 批判性思维过程:促进健康职业教育中批判性问题解决的整体观点
Pub Date : 2023-05-10 DOI: 10.5812/jme-135024
Nasim Gheshlaghi Azar, S. Yazdani, Zohreh Khoshgoftar
Context: Critical thinking (CT) has been recognized as a key learning outcome in health profession education (HPE). A holistic, well-defined process for initiating CT is essential to promote critical problem-solving in HPE students. Various perceptions of CT have emerged from different paradigms and disciplines. Integration of this variability into the CT process could be beneficial for medical educators to develop CT in learners. This study aimed to outline the CT process in view of the multiple conceptualizations of CT. Evidence Acquisition: In this narrative review, SID, Google Scholar, and PubMed databases were searched. After studying 35 selected articles, the CT process was formulated based on the multiple conceptualizations of CT. Results: Multiple perceptions of CT, emerged from disciplines and paradigms, should be incorporated into the CT process to achieve strong CT. In view of this multiplicity, not only the CT skills but also its dispositions are of key importance in the CT process. Furthermore, the essential role of the context in which the CT takes place, one’s own creativity, metacognition over the thinking process, social construction of meaning, caring to others, and seeking problems through challenging the systems should be considered. Conclusions: We outlined the CT process, grounded from multiple conceptualizations of CT, and advocated for the use of it by HPE students to promote critical problem-solving in facing complex challenges during their professional careers.
背景:批判性思维(CT)已被认为是卫生专业教育(HPE)的关键学习成果。一个全面的、定义明确的CT启动过程对于促进HPE学生的批判性问题解决至关重要。从不同的范式和学科中出现了对CT的不同看法。将这种可变性整合到CT过程中可能有利于医学教育者在学习者中发展CT。鉴于CT的多种概念,本研究旨在概述CT的过程。证据获取:在这篇叙述性综述中,检索了SID、Google Scholar和PubMed数据库。在研究了35篇选定的文章后,基于CT的多种概念制定了CT流程。结果:从学科和范式中产生的对CT的多重认知应纳入CT过程,以实现强大的CT。鉴于这种多样性,CT技能及其配置在CT过程中至关重要。此外,还应考虑认知行为发生的语境、个人的创造力、对思维过程的元认知、意义的社会建构、对他人的关怀以及通过挑战系统来寻求问题。结论:基于CT的多种概念,我们概述了CT过程,并提倡HPE学生在其职业生涯中面对复杂挑战时使用它来促进批判性解决问题。
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引用次数: 0
Ethical Dilemmas of Mixed and Extended Reality 混合现实和扩展现实的伦理困境
Pub Date : 2023-04-15 DOI: 10.5812/jme-133854
Mohsen Masoumian, Manijeh Hooshmandja, Toktam Masoumain Hosseini
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引用次数: 0
Assessment of reflection-based education on reflective thinking skills of dental students: A quasi experimental study 反思教育对牙科学生反思思维能力的评估——一项准实验研究
Pub Date : 2023-03-01 DOI: 10.52547/edcj.16.49.1
M. Kazemipoor, F. Keshmiri
{"title":"Assessment of reflection-based education on reflective thinking skills of dental students: A quasi experimental study","authors":"M. Kazemipoor, F. Keshmiri","doi":"10.52547/edcj.16.49.1","DOIUrl":"https://doi.org/10.52547/edcj.16.49.1","url":null,"abstract":"","PeriodicalId":30594,"journal":{"name":"Journal of Medical Education Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47838433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A survey to assess the understanding of healthcare research among the Indian undergraduate medical students 一项评估印度医科大学生对卫生保健研究了解程度的调查
Pub Date : 2023-03-01 DOI: 10.52547/edcj.16.49.7
Jigar P Thacker, Mayuri A. Shinde, Jaishree Ganjiwale, S. Nimbalkar
Abstract
摘要
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引用次数: 0
期刊
Journal of Medical Education Development
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